TSC Field Audit

General Information

• Job Site Name

• Location
  Address

• Prepared by

• Document No.

• Conducted on

  Date

Personnel and Equipment

• Crane #

• Trailer #

• Truck #

• Operators (Crane Operator, Riggers, Drivers, Supervisors, etc.)

Client Specific SOP

• Does each employee have correct and current orientation for the location that they are on?

  Yes

  No

  N/A

• Are all employees aware of SOP’s and following correctly?

  Yes

  No

  N/A

• Does each employee have their proper fit test and trained in H2S safety?

  Yes

  No

  N/A

• Are all personnel wearing issued H2S monitors (properly, that are in working order, and have been bump tested before shift)?

  Yes

  No

  N/A

• Are all employees aware of proper reporting for their HSE first aid or greater incidents?

  Yes

  No

  N/A

• Are all fire extinguishers currently inspected, charged and tagged?

  Yes

  No

  N/A

General Safety

• Is location cleared and proper housekeeping practices in place?

  Yes

  No

  N/A

• Are all tools in working condition to eliminate too slippage?

  Yes

  No

  N/A

• Are employees using proper lifting techniques?

  Yes

  No

  N/A

• Are employees aware and avoid pinch points?

  Yes

  No

  N/A

• No Cheater Pipes or Torque extenders being used on location?

  Yes

  No

  N/A

• Is this location considered an H2S location?

  Off

  On

• Is the vehicles parked so the windsock can be seen?

  Yes

  No

  N/A

• Are all personnel wearing issued H2S monitors (properly, that are in working order, and have been bump tested before shift)?

  Yes

  No

  N/A

• Are all personnel on location clean shaved for use of respirator?

  Yes

  No

  N/A

PPE

• PPE- are all personnel wearing ANSI z87.1 eye protection?

  Yes

  No

  N/A

• PPE- are all personnel wearing face shield with glasses when using grinder or abrasive wheel?

  Yes

  No

  N/A

• PPE- are all personnel wearing FR clothing?

  Yes

  No

  N/A

• PPE- do all personnel have standard steel toe boots?

  Yes

  No

  N/A

• PPE - are personnel wearing ANSI standard hard hats

  Yes

  No

  N/A

• PPE - is all jewelry removed from fingers and wrist. Any long hair or loose clothing secured when working in PPE required areas?

  Yes

  No

  N/A

• PPE - are gloves being used when required?

  Yes

  No

  N/A

• PPE - is fall protection being used when employee is at risk of falling above 4 feet?

  Yes

  No

  N/A

SDS

• SDS- current legible copy for chemicals used on location?

  Yes

  No

  N/A

• SDS- Are all containers labeled for the contents?

  Yes

  No

  N/A

• HMIS-Are all containers properly labeled with the HMIS labels?

  Yes

  No

  N/A

Rig Up

• Has a per-job safety brief JSA occurred before the start of any work?

  Yes

  No

  N/A

• Picture of the JSA

  Media

• Is the signal person listed?

  Yes

  No

  N/A

• Signal Person:

• Do all sheaves have safety pins in the Clevis to prevent the nut from backing off?

  Yes

  No

  N/A

• Is the crew using bolt type anchor shackle with cotter pin?

  Yes

  No

  N/A

Lifting Gear

• Are we utilizing our lifting gear on this job?

  Yes

  No

  N/A

• Has lifting certs been checked for compliance on all lifting equipment?

  Yes

  No

  N/A

• Which TSC Employee physically checked these Certificates?

Crane

• Is the crane operated by TSC Personnel?

  Off

  On

• Crane Number

• Does the crane have a current insurance card?

  Yes

  No

  N/A

• Does the crane have current Federal/State inspection, if applicable?

  Yes

  No

  N/A

• Are lifts being performed in a safe and compliant manner (ex: knowing weight of load prior to lift, utilizing tag lines and spotter, and properly rigging load)?

  Yes

  No

  N/A

• Does the crane operator have his NCCCO and state licenses on him?

  Yes

  No

  N/A

• Are the outriggers set on a firm lever surface?

  Yes

  No

  N/A

• Does the crane have a current registration, if applicable?

  Yes

  No

  N/A

• Is the crane inspected as per TSC policy?

  Yes

  No

  N/A

Truck and Trailer information

• CMV

• Unit Number

• Does the Truck have a current state/federal inspection?

  Yes

  No

  N/A

• Does the Truck have a current insurance card?

  Yes

  No

  N/A

• Does the Truck have a current IFTA sticker and license?

  Yes

  No

  N/A

• Is there a current HUT permit in the truck?

  Yes

  No

  N/A

• Does the truck have a current copy of the ERG, Hazardous materials compliance and safety regulation books?

  Yes

  No

  N/A

• Does the truck have a fire extinguisher that is serviceable?

  Yes

  No

  N/A

• Are the wheels chocked?

  Yes

  No

  N/A

• Trailer

• Trailer Number

• Does the trailer have a current federal/state inspection?

  Yes

  No

  N/A

• Does the trailer have a current registration?

  Yes

  No

  N/A

• Does the trailer have a fire extinguisher that is serviceable?

  Yes

  No

  N/A

• Are the Wheels Chocked?

  Yes

  No

  N/A

• Pickup

• Pickup Number

• Does the Truck have a current state/federal inspection?<br>

  Yes

  No

  N/A

• Does the Truck have a current insurance card?

  Yes

  No

  N/A

• Does the truck have a current copy of the ERG, Hazardous materials compliance and safety regulation books?

  Yes

  No

  N/A

• Does the truck have a fire extinguisher that is serviceable?

  Yes

  No

  N/A

• Does the Truck have a current registration?

  Yes

  No

  N/A

Notes

Pictures

• Add media

  Media

• Add signature

  Sign